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... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Assess discharge plans Coordinates with..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers open ... and Texas. CenterWell Senior Primary Care..
... Wisconsin Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers open ... and Texas. CenterWell Senior..
... Hiring Job Title: Regional Clinical Director Surgical Services Department: Surgical Services ... goals and objectives consistent with medical, administrative, legal and ethical requirements ... ethical requirements of the health..
... vendors and providers. Responsibilities The Director, HPS Clinical Programs requires a ... broad understanding of pharmacy, managed care, and patient centered clinical programs ... broad understanding of pharmacy, managed..
... part of the hemodialysis health care team in providing safe and ... of all appropriate direct patient care personnel as well as the ... as preceptor in direct patient..
... Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure continuity of..
Job Information Humana Oncology Market Director in Green Bay Wisconsin Description ... Bay Wisconsin Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline ... external vendors and providers. The Director, Pharmacy Clinical Trend and Pipeline ... understanding of pharmacy and managed care to develop..
... key aspects of quality of care concern processes with CQM staff, ... deadlines Collaborates with Dental and Medical Directors on quality issues as ... abstraction and dental standard of..
... a Clinical Manager with Fresenius Medical Care, you will ensure that quality ... will ensure that quality patient care is delivered while maintaining clinical ... team responsible for delivering..